Healthcare Finance Staff
When the new insurance tax hits Medicaid managed care plans this year, it will basically leave the government taxing itself and perhaps spur more states to start contracting with not-for-profits.
For state exchanges still struggling to function, and governors facing the consequences, the Centers for Medicare & Medicaid Services is offering an exception to the rule of tax credits only being available through public marketplaces.
As health systems around the nation buy up office-based physician practices and redub them outpatient facilities, Pennsylvania's largest insurer may be starting a competing trend with a new payment policy for one of the most profitable specialities.
The price of an initial inpatient stay explains almost all of the wide spending variation among hospitals on episodes of care, such as for knee or hip replacements, the National Institute for Health Care Reform has found. That finding is important for the move toward bundled payments.
Tax preparers may play a key role in getting many uninsured individuals covered during the final weeks before the health insurance exchange enrollment deadline as most of the uninsured who file tax returns use in-person professional preparers, including two-thirds of those who claim the earned income tax credit (EITC).
After the Health and Human Services Department gave a tentative go-ahead for some hospitals to help pay for health plan costs and an uproar ensued over funding for HIV/AIDS patients, Blue Cross and Blue Shield of Louisiana is planning to stop accepting premium payments from most third parties.
The Centers for Medicare & Medicaid Services' latest proposals to curb the overuse of painkillers could have a lot of unintended consequences, hospice and palliative care advocates are warning.
Although highly touted, the patient-centered medical home model failed to lower use of services or total costs and produced little quality improvement over three years, research in the latest Journal of the American Medical Association (JAMA) has found.
The federal government is proposing a 3.5 percent Medicare Advantage rate reduction, but all other factors considered, how much could the cuts translate into?
Maryland's troubled insurance exchange is ending its contract with the lead IT developer and might be trying to recoup some of the millions that've been paid out, while calling in the nation's go-to HIX fix-it firm.